Completing the form is taking around 20 minutes. There are no good or bad answers. It is designed as a process to help you reflect about your well-being (it's not only focusing on physical health, but it's "a journey of unfolding the unique potential by developing the mental, emotional, physical aspects, in relation to oneself, the others and the environment."- adapted from Learning For Well-being definition). Please feel free to be as honest as possible. We respect confidentiality and your answers will be used strictly in order to create the project and design the training course “Being Well-Being You”.

Organization

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Username

It will remain anonymous, but please remember it

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Gender

Female

Male

Not defined

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1. I am not afraid to voice my opinions, even when they are in opposition to the opinions of most people.

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2.In general, I feel I am in charge of the environment in which I live.

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strongly disagree

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3.I am interested in activities that will expand my horizons.

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strongly disagree

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4.I believe most people enjoy my communication style.

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5.I live my life one day at a time and I don't really think about the future of the society.

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strongly disagree

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6. When I look at the story of my life, I am pleased with how things have turned out.

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strongly disagree

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7. My decisions are often influenced by what everyone else is doing.

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strongly disagree

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8. Bad news about events happening in the society often get me down.

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strongly disagree

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9. I think it is important to have new experiences that challenge how I think about myself and the world.

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strongly disagree

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10. Maintaining close relationships is difficult and frustrating for me.

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strongly disagree

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11. I have a sense of direction and purpose in life.

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strongly disagree

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12. In general, I feel confident and positive about myself.

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strongly disagree

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13. I tend to worry about what other people think of me.

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strongly disagree

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14. I do not feel very comfortable in the community around me.

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strongly disagree

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15. When I think about it, I haven't really improved much as a person over the years.

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strongly disagree

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16. I often feel lonely because I have few close friends with whom to share my concerns.

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strongly disagree

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17. I often think that my daily activities are trivial and unimportant for my contribution to the society/world.

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strongly disagree

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18. I feel like many of the people I know have gotten more out of life than I have.

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strongly disagree

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19. I tend to be influenced by people with strong opinions.

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strongly disagree

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20. I am quite good at identifying and managing my emotions in my daily life.

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strongly disagree

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21. I have the sense that I have developed a lot as a person over time.

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strongly disagree

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22. I enjoy personal and mutual conversations with my family/friends.

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strongly disagree

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23. I don't have a good sense of what it is I'm trying to accomplish in life.

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strongly disagree

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24. I like most aspects of my personality.

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strongly disagree

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25. I tend to accept other peoples' requests even when I wouldn't like to.

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strongly disagree

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26. I often feel overwhelmed by my responsibilities.

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strongly disagree

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27. I dislike being in new situations that require me to change my old familiar ways of doing things.

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28. People would describe me as a giving person, willing to share my time with others.

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strongly disagree

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29. I enjoy making plans for the future and working to make them a reality.

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strongly disagree

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30. In many ways, I feel disappointed about my achievements in life.

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strongly disagree

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31.It's difficult for me to voice my own opinions on controversial matters.

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strongly disagree

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32. I have difficulty arranging my life in a way that is satisfying to me.

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strongly disagree

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33. For me, life has been a continuous process of learning, changing, and growth.

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strongly disagree

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34. I have not experienced many warm and trusting relationships with others.

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strongly disagree

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35. Some people wander aimlessly through life, but I am not one of them.

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strongly disagree

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36. My attitude about myself is probably not as positive as most people feel about themselves.

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strongly disagree

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37. Most often I judge myself by what I think is important, not by what others think is important.

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strongly disagree

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38. I have been able to build a home and a lifestyle for myself that is much to my liking.

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strongly disagree

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39. I seek to make changes in my life in order to learn new things.

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40. I know that I can trust my friends, and they know they can trust me.

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41. I believe there is a special contribution I can bring to what I do in my life.

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42. When I compare myself to friends and acquaintances, it makes me feel good about who I am.

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strongly disagree

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43. I am generally satisfied with my health.

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strongly disagree

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This is a required question

44. I feel good in my body.

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strongly disagree

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45. My physical state is sometimes affecting my ability to carry on with my life.

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strongly disagree

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This is a required question

46. Mention at least 3 things you think a participant should learn about in the training course “Being Well-Being You”:

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47. If you want you can add why you are interested in the project.

This is a required question

Becoming a partner in Being Well-Being You

*Note In order for your organization to apply to become a partner, please:
-fill and send the partnership form
-ask at least 2 potential participants from the organization to submit the questionnaire,
-fulfill the criteria described in the call,
-send us the mandate at lecs.romania@gmail.com,
-send these before the 19th of January, first on e-mail and then by post.
For any questions please contact us at lecs.romania@gmail.com.